Managed Care restrictions and their ability to manage utilization can make it difficult for a new product introduction. Why? Describe what is considered valuable by managed care and give each factor a rating (high, medium, and low) and include your ration

If they do not fit in any of the required categories , then they are disregarded

case management

Case management involves nurses and other social workers looking into specific matters such as maternity cases and claim management . Their roles entail ensuring that they coordinate insurance services as well as various claims that people may have . Through this , they are able to analyze the areas where most complaints are d "Access to such information means that restrictions will be made in the areas that have the most complaints and this will mean certain

products will be reduced and the patients cannot have access to them (McCarthy Schafermeyer 2004 ' Case management fro this reason can be ranked as a low factor

Conclusion

Managed care has enabled people to access health care at affordable prices as well as ensuring that the medical practitioners follow the legal and professional standards . Despite the good they are trying to enhance , managed care organizations need to lighten the restrictions that inhibit the entry of new products which are geared towards improving the lives of the people . Pharmaceutical companies need to be supported by managed care organizations so that they can continue with the provision of better medical facilities as well as research work These actions will increase the roles they play and public trust in these institutions will increase

References

Arcangelo , V .

Peterson , A . M (2005 . Pharmacotherapeutics for advanced practice : a practical approach , 2nd Ed . Lippincott Williams Wilkins , 2005 , pp . 898-902

HYPERLINK "http /www .springerlink .com /content /n0146w3475k3 ?p f2e859a27eb04f568d6 8d6ec pi 0 " Frick , D . K (June 1999 . Cross product subsidization in the health insurance market with managed care : A Model and issues . Atlantic Economic Journal , John Hopkins University , U .S .A Vol . 27 , No . 2

McCarthy , R . L Schafermeyer , K . W (2004 . Introduction to health care...